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psnet.ahrq.gov/sites/default/files/2024-10/The%20Different%20Count%20Contributions%20to%20Retention.pdf
January 01, 2024 - are used in multiple ways
to set up a sterile field, cover and protect instruments and wipe and dry things
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psnet.ahrq.gov/node/33805/psn-pdf
April 01, 2016 - psnet.ahrq.gov/issue/national-cluster-randomized-trial-duty-hour-flexibility-surgical-training
Some things
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psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
March 29, 2023 - Sarah Mossburg: One of the other things that you touched on briefly is equity and equitable care. … see our data management plans, they often wonder why we didn’t recommend that they measure specific things
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psnet.ahrq.gov/periodic-issue/periodic-issue-303
August 25, 2021 - August 4, 2021 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports,…
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psnet.ahrq.gov/issue/economic-evaluation-healthcare-safety-which-attributes-safety-do-healthcare-professionals
July 01, 2012 - Study
Economic evaluation of healthcare safety: which attributes of safety do healthcare professionals consider most important in resource allocation decisions?
Citation Text:
Steuten L, Buxton M. Economic evaluation of healthcare safety: which attributes of safety do healthcare profes…
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psnet.ahrq.gov/issue/medical-device-associated-safety-and-risk-surveillance-and-stratagems
March 06, 2005 - Commentary
Medical device-associated safety and risk: surveillance and stratagems.
Citation Text:
Small SD. Medical device-associated safety and risk: surveillance and stratagems. JAMA. 2004;291(3):367-70.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XML …
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psnet.ahrq.gov/node/50389/psn-pdf
September 25, 2019 - Getting the Diagnosis Both Right and Wrong
September 25, 2019
Olson AP. Getting the Diagnosis Both Right and Wrong. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
The Case
A 27-year-old woman with a history of acute myeloid leukemia was sent to the emergency department…
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psnet.ahrq.gov/node/49863/psn-pdf
May 01, 2019 - Good Catch in the Operating Room
May 1, 2019
Day J, Paige JT. Good Catch in the Operating Room. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/good-catch-operating-room
The Case
A 46-year-old woman with extensive history of back pain from lumbar stenosis was scheduled for an
elective laminectomy and spinal…
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psnet.ahrq.gov/node/49665/psn-pdf
September 01, 2012 - Undetected Foreign Object
September 1, 2012
Cima RR. Undetected Foreign Object. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/undetected-foreign-object
The Case
A 75-year-old man with a past medical history of end-stage renal disease (on hemodialysis), hypertension,
and diabetes was found to have obstruct…
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psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health
March 28, 2023 - Sarah Mossburg: One of the other things that you touched on briefly is equity and equitable care. … see our data management plans, they often wonder why we didn’t recommend that they measure specific things
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psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms
May 01, 2014 - In Conversation With… Didier Pittet, MD, MS
May 1, 2014
Also Read an Essay
Citation Text:
In Conversation With… Didier Pittet, MD, MS. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. …
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psnet.ahrq.gov/periodic-issue/periodic-issue-287
April 28, 2021 - The authors propose debriefing when things go right will increase debriefings overall.
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psnet.ahrq.gov/periodic-issue/periodic-issue-318
November 30, 2021 - Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things
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psnet.ahrq.gov/node/50611/psn-pdf
October 30, 2019 - Interactions between the various components of this
system require a situational awareness of the various things
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psnet.ahrq.gov/node/837791/psn-pdf
August 05, 2022 - rethink, and reorient priorities and approaches to ambulatory care safety
in the future.2,3
The more things
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psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
June 01, 2007 - Leape and Berwick have noted, systemic nationwide patient safety improvements require, among other things
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psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
January 01, 2009 - negatively impacted communication between providers.( 6 ) Like many of my colleagues, one of the major things
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psnet.ahrq.gov/web-mm/near-miss-bedside-medications
February 01, 2006 - They are free lessons about how things go wrong and how they can be fixed before someone gets hurt.
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psnet.ahrq.gov/node/49735/psn-pdf
June 01, 2015 - System-based improvements
Several system-based improvements might have improved things in this case.
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psnet.ahrq.gov/node/49729/psn-pdf
April 01, 2015 - However, to be fair, things are always clearer from a retrospectoscope.